ArticleJournal of clinical hypertension (Greenwich, Conn.)2012
Understanding minority patients' beliefs about hypertension to reduce gaps in communication between patients and clinicians.
Article in Journal of clinical hypertension (Greenwich, Conn.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Beliefs About Hypertension and its Treatment Among African Americans.Current hypertension reports · 2016Pooled it
- A Systems-Level Approach to Improving Medication Adherence in Hypertensive Latinos: a Randomized Control Trial.Journal of general internal medicine · 2020Trial
- Determinants of adherence to treatment in hypertensive patients of African descent and the role of culturally appropriate education.PloS one · 2015Trial
- Cultural and Contextual Barriers to Sustained Home Blood Pressure Monitoring Practices Among Indigenous People in Northern Thailand: A Qualitative Study.International journal of community based nursing and midwifery · 2025Article
- Barriers and facilitators to patient utilization of noncommunicable disease services in primary healthcare facilities in Nepal: a qualitative study.BMC health services research · 2025Article
- Clinicians' and Patients' Perspectives on Hypertension Care in a Racially and Ethnically Diverse Population in Primary Care.JAMA network open · 2023Article
- A Critical Review of Medication Adherence in Hypertension: Barriers and Facilitators Clinicians Should Consider.Patient preference and adherence · 2022Review
- Poor Medication Adherence in African Americans Is a Matter of Trust.Journal of racial and ethnic health disparities · 2021Review
- The associations among illness perceptions, resilient coping, and medication adherence in young adult hypertensive black women.Journal of clinical hypertension (Greenwich, Conn.) · 2019Article
- Association Between Health Literacy and Medication Adherence Among Hispanics with Hypertension.Journal of racial and ethnic health disparities · 2019Article
- Qualitative Study of Knowledge, Perception, and Behavior Related to Hypertension and Cardiovascular Disease Risk Reduction Among Hypertensive African-Americans in Urban Inner City of South Bronx, New York.Journal of racial and ethnic health disparities · 2019Article
- Perspectives on Hypertension in the New England Cape Verdean Community.Journal of racial and ethnic health disparities · 2018Article
- Barriers and facilitators to treatment among patients with newly diagnosed hypertension in Nepal.Heart Asia · 2018Article
- "I did not want to take that medicine": African-Americans' reasons for diabetes medication nonadherence and perceived solutions for enhancing adherence.Patient preference and adherence · 2018Article
- A perspective on nonadherence to drug therapy: psychological barriers and strategies to overcome nonadherence.Patient preference and adherence · 2018Review
- Patient expectations of hypertension and diabetes medication: Excessive focus on short-term benefits.SAGE open medicine · 2018Article
- Patients' Future Expectations for Diabetes and Hypertension Treatments: "Through the Diet… I Think This is Going to Go Away."Journal of general internal medicine · 2017Article
- How information about the time requirements and legacy effects of treatments influence decision-making in patients with diabetes and hypertension.BMJ open diabetes research & care · 2016Article
- Perceived Barriers to and Facilitators of Hypertension Management among Underserved African American Older Adults.Ethnicity & disease · 2015Article
- Key barriers to medication adherence in survivors of strokes and transient ischemic attacks.Journal of general internal medicine · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
The authors' objective was to gain a better understanding of minority patients' beliefs about hypertension and to use this understanding to develop a model to explain gaps in communication between patients and clinicians. Eighty-eight hypertensive black and Latino adults from 4 inner-city primary care clinics participated in focus groups to elucidate views on hypertension. Participants believed that hypertension was a serious illness in need of treatment. Participants' diverged from the medical model in their beliefs about the time-course of hypertension (believed hypertension was intermittent); causes of hypertension (believed stress, racism, pollution, and poverty were the important causes); symptoms of hypertension (believed hypertension was primarily present when symptomatic); and treatments for hypertension (preferred alternative treatments that reduced stress over prescription medications). Participants distrusted clinicians who prioritized medications that did not directly address their understanding of the causes or symptoms of hypertension. Patients' models of understanding chronic asymptomatic illnesses such as hypertension challenge the legitimacy of lifelong, pill-centered treatment. Listening to patients' beliefs about hypertension may increase trust, improve communication, and encourage better self-management of hypertension.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.